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- W2912263548 abstract "Introduction In Switzerland, smoking bans were implemented in different social contexts with a variable degree of protection and at different time points between 2007 and 2010. We took advantage of this natural design to evaluate how population-level smoking-related factors influenced the overall nationwide benefits for cardiorespiratory outcomes. Method Data on monthly hospital admissions and mortality due to ischemic heart diseases (IHD) and chronic obstructive pulmonary disease (COPD) in Switzerland from 2005 to 2012 (2 years pre- and post-ban) were analysed. We performed interrupted time-series analyses at the level of cantons, as these have their own health legislation with some having a more strict smoking ban compared to the Federal one. Meta-regression was then used to assess heterogeneity across cantons according to population-level smoking-related factors including the degree of comprehensiveness of the ban, pre and post ban changes in the prevalence rates of active and passive smoking, and rates of smoking cessation after the ban, as obtained by repeated population-level health surveys. Results We observed changes in IHD hospitalizations by -3.1% [95% CI: -8.2 to 2.2] in cantons applying more restrictive smoking bans, by -6.9% [95% CI: -14.4 to 1.23] in cantons showing a decrease in active smokers and by -6.3% [95% CI: -11.2 to -1.21] in cantons with a greater reduction in reported passive smoking exposure after the introduction of the ban. COPD-mortality changed by -13.9% [95% CI: -22.3 to -4.5] after the smoking ban, with little variation across types of bans and smoking-related cantonal characteristics. Differences in smoking cessation rates after the ban did not modify the effect of the ban for both outcomes. Conclusions The smoking ban had an impact on both outcomes, COPD-mortality and IHD-hospitalizations. Only the effects on IHD-hospitalizations varied according to type of ban and related to increase changes in passive smoke exposure." @default.
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- W2912263548 date "2016-08-17" @default.
- W2912263548 modified "2023-10-14" @default.
- W2912263548 title "How does smoking-related profile of the population influence the effectiveness of smoke-free laws? A nationwide study in Switzerland." @default.
- W2912263548 doi "https://doi.org/10.1289/isee.2016.3365" @default.
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